Airway management

Effect of continuous measurement and adjustment of endotracheal tube cuff pressure on postoperative sore throat in patients undergoing gynecological laparoscopic surgery: a randomized controlled trial

J Clin Monit ComputPublished Randomised controlled trial

Authors' conclusion

Continuous monitoring and maintenance of tracheal tube cuff pressure at 18 mmHg were superior to merely monitoring without adjustment, effectively reducing the incidence of POST during quiet within 24 h after tracheal tube removal in gynecological laparoscopic surgery patients.

Study context

Population
Patients scheduled for elective gynecological laparoscopic procedures
Participants
60 patients
Comparison
Cuff pressure measurement and adjustment (CPMA) vs Control
Primary endpoint
Postoperative sore throat (POST) incidence at rest
Follow-up
Within 24 h post-extubation
Methodological detailssingle-centre, superiority
  • Single-centre
  • Superiority

Primary result

As reported in the abstract

P < 0.025

Secondary outcomes

Cough, hoarseness, pain scores · within 24 h post-extubation

No statistically significant differences between the two groups

Sore throat severity scores · within 24 h post-extubation

Higher in the control group

Safety

Postoperative nausea and vomiting (PONV)

Higher incidence in the CPMA group vs control

Original publication

Effect of continuous measurement and adjustment of endotracheal tube cuff pressure on postoperative sore throat in patients undergoing gynecological laparoscopic surgery: a randomized controlled trial. J Clin Monit Comput. Published 11 May 2024. doi:10.1007/s10877-024-01173-y

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